scholarly journals Nursing Analysis of Traumatic Spinal Injury in Emergency Nursing

2015 ◽  
Vol 4 (3) ◽  
pp. 27
Author(s):  
Yanli Wu
Keyword(s):  
Vertebral Fractures ◽  
Spinal Injury ◽  
Whole Body ◽  
Type I ◽  
Emergency Nursing ◽  
Type Ii ◽  
Neurological Damage ◽  
Ligament Rupture ◽  
Cord Injury ◽  
Multiple Vertebral Fractures

<p>Spinal injuries account for about 4.2% of the whole body fractures, usually occur in the young, middle-aged, the vast majority are caused by indirect forces, and direct violence is relatively rare. Spinal injury was common in T12~L1, followed by C1~2, C5~7, but there are about 20% spinal injury are multiple vertebral fractures. In addition to vertebral fractures, spinal injury is often associated with combined injury of accessory fracture, ligament rupture, etc. If associated with spinal cord injury, it may cause paraplegia. The purpose of this paper is to explore the nursing measures of traumatic spinal injury. In this paper, 134 cases of spinal injury patients adopted nursing measures were summarized. Results showed that among the 33 cases of type I patients, there was no case died in the emergency department or with increased neurological damage. There was also no case with aggravated neurological damage in 31 cases of type II patients, and finally smooth admission. In the 21 patients with type III, 7 patients had poor spine stability, and had a certain tendency of neurological damage, and then transferred to the department of orthopedics. 5 cases had delayed neurological symptoms and transferred to the department of orthopedics. The other 5 cases had no abnormal changes over 3 days observation and went home to conduct conservative treatment and got better results.</p>

scholarly journals Patterns of C-2 fracture in the elderly: comparison of etiology, treatment, and mortality among specific fracture types

2017 ◽  
Vol 27 (5) ◽  
pp. 494-500 ◽  
Author(s):  
Ingrid Radovanovic ◽  
Jennifer C. Urquhart ◽  
Parham Rasoulinejad ◽  
Kevin R. Gurr ◽  
Fawaz Siddiqi ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Mortality Rates ◽  
Predisposing Factors ◽  
Type I ◽  
Type Ii ◽  
Odontoid Fractures ◽  
Type Iii ◽  
Cord Injury ◽  
Risk Factors For Falls ◽  
Fracture Types

OBJECTIVEPrevious studies have focused on Type II odontoid fractures and have failed to report on the effect of other C-2 fracture types on treatment and outcome. The purpose of this study was to compare patient characteristics, cause of injury, predisposing factors to fracture, treatments, and mortality rates among C-2 fracture types in a cohort of elderly patients 70 years of age and older.METHODSA retrospective cohort study design was used. Patients who sustained a C-2 fracture between 2002 and 2011 and who were admitted to the authors’ Level 1 trauma center were identified using the Discharge Abstract Database and the International Statistical Classification of Diseases and Related Health Problems (ICD-10) code S12.1. Fractures were classified as odontoid Type I, II, or III; hangman’s; C-2 complex (hangman’s appearance on sagittal images, Type III odontoid on coronal cuts); and other (miscellaneous). Age, sex, predisposing factors to falls, cause of injury, treatment, presence of autofusion in the subaxial cervical spine, and mortality rates were compared between fracture patterns.RESULTSOne hundred forty-one patients were included; their mean age was 82 years. Fractures included Type II odontoid (57%), complex (19%), Type III odontoid (11%), hangman’s (8%), and other (5%). Falls from a standing height accounted for 47% of injuries, and 65% of patients had ≥ 3 risk factors for falls. Subaxial autofusion was more common in odontoid fractures (p = 0.002). Treatment was mainly nonoperative (p < 0.0001). The 1-year mortality rate was 27%. Four patients died of spinal cord injury.CONCLUSIONSAlthough not as common as Type II odontoid fractures, other C-2 fractures including hangman’s, complex, and Type III odontoid fractures accounted for close to half of the injuries in the study cohort. There were few differences between the fracture types with respect to cause of injury, predisposing factors, or mortality rate. However, surgical treatment was more common for Type II odontoid fractures.

scholarly journals Prolonged exercise training increases intramuscular lipid content and perilipin 2 expression in type I muscle fibers of patients with type 2 diabetes

2012 ◽  
Vol 303 (9) ◽  
pp. E1158-E1165 ◽  
Author(s):  
C. S. Shaw ◽  
S. O. Shepherd ◽  
A. J. M. Wagenmakers ◽  
D. Hansen ◽  
P. Dendale ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Exercise Training ◽  
Fiber Type ◽  
Muscle Fibers ◽  
Whole Body ◽  
Type I ◽  
Type Ii ◽  
Perilipin 2 ◽  
Diabetes Patients

The aim of the present study was to investigate changes in intramuscular triglyceride (IMTG) content and perilipin 2 expression in skeletal muscle tissue following 6 mo of endurance-type exercise training in type 2 diabetes patients. Ten obese male type 2 diabetes patients (age 62 ± 1 yr, body mass index BMI 31 ± 1 kg/m2) completed three exercise sessions/week consisting of 40 min of continuous endurance-type exercise at 75% V̇o2 peak for a period of 6 mo. Muscle biopsies collected at baseline and after 2 and 6 mo of intervention were analyzed for IMTG content and perilipin 2 expression using fiber type-specific immunofluorescence microscopy. Endurance-type exercise training reduced trunk body fat by 6 ± 2% and increased whole body oxygen uptake capacity by 13 ± 7% ( P < 0.05). IMTG content increased twofold in response to the 6 mo of exercise training in both type I and type II muscle fibers ( P < 0.05). A threefold increase in perilipin 2 expression was observed from baseline to 2 and 6 mo of intervention in the type I muscle fibers only (1.1 ± 0.3, 3.4 ± 0.6, and 3.6 ± 0.6% of fibers stained, respectively, P < 0.05). Exercise training induced a 1.6-fold increase in mitochondrial content after 6 mo of training in both type I and type II muscle fibers ( P < 0.05). In conclusion, this is the first study to report that prolonged endurance-type exercise training increases the expression of perilipin 2 alongside increases in IMTG content in a type I muscle fiber-type specific manner in type 2 diabetes patients.

Tonic neck reflex of the decerebrate cat: response of spinal interneurons to natural stimulation of neck and vestibular receptors

1984 ◽  
Vol 51 (3) ◽  
pp. 567-577 ◽  
Author(s):  
V. J. Wilson ◽  
K. Ezure ◽  
S. J. Timerick
Keyword(s):  
Dynamic Behavior ◽  
Vestibular Stimulation ◽  
Whole Body ◽  
Type I ◽  
Type Ii ◽  
Vestibular Input ◽  
Ipsilateral Side ◽  
Neck Rotation ◽  
Roll Tilt ◽  
Tonic Neck Reflex

In order to investigate the neural basis of the tonic neck reflex, we studied the response of neurons in the cervical spinal cord of decerebrate, paralyzed cats to neck rotation about the longitudinal axis (roll), to vestibular stimulation produced by roll tilt, and to a combination of these stimuli. Most neurons were outside the motoneuron nuclei and were arbitrarily classified as interneurons. Three types of preparation were used--one with intact labyrinths, one acutely labyrinthectomized, and one with acute spinal transection. The activity of 115 neurons recorded extracellularly was modulated by sinusoidal neck rotation in the range 0.02-4 Hz; their behavior was sufficiently linear for sinusoidal analysis. The phase and gain of the responses of neurons in all three preparations were similar except that the absolute gain in cats with intact labyrinths was higher than that of the others. The location of neurons in segments C4-C8 was mainly in laminae 7-8. Some neurons were excited by rotation of the chin to the ipsilateral side (type I) and others by contralateral chin rotation (type II). The dynamic behavior of type I and type II neurons was the same; phase was flat over most of the frequency range and close to the phase of peak neck rotation, while gain enhancement occurred at higher frequencies. This behavior was similar to that of the neckforelimb reflex evoked in unparalyzed intact-labyrinth and labyrinthectomized cats. In cats with intact labyrinths, vestibular input to neurons whose activity was modulated by the neck stimulus was studied using whole-body roll tilt. Many neurons received otolith input; some received canal input. Neck and vestibular inputs to spinal neurons always had opposite polarities (complementary inputs). Thus, type I neurons were always excited by tilt to the ipsilateral side (ipsilateral ear down) while type II neurons were excited by tilt to the contralateral side. Combined neck and vestibular stimulation indicated that the dynamic behavior of neurons was determined by a linear summation of the responses to these stimuli. Interaction of neck and vestibular input at the neuron level was similar to that observed previously at the reflex level in forelimb extensor muscles.(ABSTRACT TRUNCATED AT 400 WORDS)

Respiratory motor outputs following unilateral midcervical spinal cord injury in the adult rat

2014 ◽  
Vol 116 (4) ◽  
pp. 395-405 ◽  
Author(s):  
Kun-Ze Lee ◽  
Yi-Jia Huang ◽  
I-Lun Tsai
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Tidal Volume ◽  
Spinal Injury ◽  
Whole Body ◽  
Adult Rats ◽  
Cord Injury ◽  
Burst Amplitude ◽  
Respiratory Recovery ◽  
The Impact

The present study was designed to investigate the impact of midcervical spinal cord injury on respiratory outputs and compare respiratory recovery following high- vs. midcervical spinal injury. A unilateral hemisection (Hx) in the spinal cord at C2 or C4 was performed in adult rats. Respiratory behaviors of unanesthetized animals were measured at normoxic baseline and hypercapnia by whole body plethysmography at 1 day and 1, 2, 4, and 8 wk after spinal injury. C2Hx and C4Hx induced a similar rapid shallow breathing pattern at 1 day postinjury. The respiratory frequency of C4Hx animals gradually returned to normal, but the tidal volume from 1 to 8 wk postinjury remained lower than that of the control animals. Linear regression analyses indicated that the tidal volume recovery was greater in the C4Hx animals than in the C2Hx animals at the baseline, but not at hypercapnia. The bilateral phrenic nerve activity was recorded in anesthetized animals under different respiratory drives at 8–9 wk postinjury. The phrenic burst amplitude ipsilateral to the lesion reduced following both high- and midcervical Hx; however, the ability to increase activity was lower in the C4Hx animals than in the C2Hx animals. When the data were normalized by the maximal inspiratory effort during asphyxia, the phrenic burst amplitude enhanced in the C4Hx animals, but reduced in the C2Hx animals compared with the control animals. These results suggest that respiratory deficits are evident following midcervical Hx, and that respiratory recovery and neuroplasticity of phrenic outputs are different following high- vs. midcervical spinal injury.

Satellite cell and myonuclear accretion is related to training-induced skeletal muscle fiber hypertrophy in young males and females

2021 ◽  
Author(s):  
Sidney Abou Sawan ◽  
Nathan Hodson ◽  
Paul Babits ◽  
Julia M. Malowany ◽  
Dinesh A. Kumbhare ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Resistance Exercise ◽  
Muscle Fiber ◽  
Fiber Type ◽  
Whole Body ◽  
Type I ◽  
Type Ii ◽  
Young Males ◽  
Males And Females ◽  
Type Ii Fibers

Satellite cells (SC) play an integral role in the recovery from skeletal muscle damage and supporting muscle hypertrophy. Acute resistance exercise typically elevates type I and type II SC content 24-96 hours post-exercise in healthy young males, although comparable research in females is lacking. We aimed to elucidate whether sex-based differences exist in fiber type-specific SC content after resistance exercise in the untrained (UT) and trained (T) states. Ten young males (23.0 ± 4.0y) and females (23.0 ± 4.8y) completed an acute bout of resistance exercise before and after 8 weeks of whole-body resistance training. Muscle biopsies were taken from the vastus lateralis immediately prior to and 24 and 48-hours after each bout to determine SC and myonuclear content by immunohistochemistry. Males had greater SC associated with type II fibers (P ≤ 0.03). There was no effect of acute resistance exercise on SC content in either fiber type (P ≥ 0.58) for either sex, however, training increased SC in type II fibers (P < 0.01) irrespective of sex. The change in mean 0-48 h type II SC was positively correlated with muscle fiber hypertrophy in type II fibers (r = 0.47; P = 0.035). Furthermore, the change in myonuclei per fiber was positively correlated with type I and type II fiber hypertrophy (both r = 0.68; P < 0.01). Our results suggest that SC responses to acute and chronic resistance exercise are similar in males and females and that SC and myonuclear accretion is related to training-induced muscle fiber hypertrophy.

scholarly journals Spastic Tail Muscles Recover From Myofiber Atrophy and Myosin Heavy Chain Transformations in Chronic Spinal Rats

2007 ◽  
Vol 97 (2) ◽  
pp. 1040-1051 ◽  
Author(s):  
R. Luke W. Harris ◽  
Charles T. Putman ◽  
Michelle Rank ◽  
Leo Sanelli ◽  
David J. Bennett
Keyword(s):  
Spinal Cord ◽  
Skeletal Muscles ◽  
Type I ◽  
Type Ii ◽  
Neuromuscular Activity ◽  
Cord Injury ◽  
Chronic Spinal Rats ◽  
Myofiber Type ◽  
Sacral Spinal Cord

Without intervention after spinal cord injury (SCI), paralyzed skeletal muscles undergo myofiber atrophy and slow-to-fast myofiber type transformations. We hypothesized that chronic spasticity-associated neuromuscular activity after SCI would promote recovery from such deleterious changes. We examined segmental tail muscles of chronic spinal rats with long-standing tail spasticity (7 mo after sacral spinal cord transection; older chronic spinals), chronic spinal rats that experienced less spasticity early after injury (young chronic spinals), and rats without spasticity after transection and bilateral deafferentation (spinal isolated). These were compared with tail muscles of age-matched normal rats. Using immunohistochemistry, we observed myofiber distributions of 15.9 ± 3.5% type I, 18.7 ± 10.7% type IIA, 60.8 ± 12.6% type IID(X), and 2.3 ± 1.3% type IIB (means ± SD) in young normals, which were not different in older normals. Young chronic spinals demonstrated transformations toward faster myofiber types with decreased type I and increased type IID(X) paralleled by atrophy of all myofiber types compared with young normals. Spinal isolated rats also demonstrated decreased type I myofiber proportions and increased type II myofiber proportions, and severe myofiber atrophy. After 4 mo of complete spasticity (older chronic spinals), myofiber type transformations were reversed, with no significant differences in type I, IIA, IID(X), or IIB proportions compared with age-matched normals. Moreover, after this prolonged spasticity, type I, IIA, and IIB myofibers recovered from atrophy, and type IID(X) myofibers partially recovered. Our results indicate that early after transection or after long-term spinal isolation, relatively inactive tail myofibers atrophy and transform toward faster myofiber types. However, long-term spasticity apparently produces neuromuscular activity that promotes recovery of myofiber types and myofiber sizes.

Heat-Etching with a Bullivant Type II Simple Freeze-Cleave Device

1970 ◽  
Vol 28 ◽  
pp. 106-107 ◽  
Author(s):  
Ronald S. Weinstein ◽  
N. Scott McNutt
Keyword(s):  
New Zealand ◽  
General Hospital ◽  
Massachusetts General Hospital ◽  
Type I ◽  
Type Ii ◽  
Collaborative Effort ◽  
Temperature And Pressure ◽  
The University

The Type I simple cold block device was described by Bullivant and Ames in 1966 and represented the product of the first successful effort to simplify the equipment required to do sophisticated freeze-cleave techniques. Bullivant, Weinstein and Someda described the Type II device which is a modification of the Type I device and was developed as a collaborative effort at the Massachusetts General Hospital and the University of Auckland, New Zealand. The modifications reduced specimen contamination and provided controlled specimen warming for heat-etching of fracture faces. We have now tested the Mass. General Hospital version of the Type II device (called the “Type II-MGH device”) on a wide variety of biological specimens and have established temperature and pressure curves for routine heat-etching with the device.

Labelling of non-A, non-B hepatitis infected chimpanzee hepatocytes with nuclease-gold conjugates

1984 ◽  
Vol 42 ◽  
pp. 250-251
Author(s):  
G. D. Gagne ◽  
M. F. Miller ◽  
D. A. Peterson
Keyword(s):  
Endoplasmic Reticulum ◽  
Experimental Infection ◽  
Uranyl Acetate ◽  
Type I ◽  
Cellular Injury ◽  
Type Ii ◽  
Tubular Structures ◽  
Type Iii ◽  
Type Iv ◽  
Infected Chimpanzee

Experimental infection of chimpanzees with non-A, non-B hepatitis (NANB) or with delta agent hepatitis results in the appearance of characteristic cytoplasmic alterations in the hepatocytes. These alterations include spongelike inclusions (Type I), attached convoluted membranes (Type II), tubular structures (Type III), and microtubular aggregates (Type IV) (Fig. 1). Type I, II and III structures are, by association, believed to be derived from endoplasmic reticulum and may be morphogenetically related. Type IV structures are generally observed free in the cytoplasm but sometimes in the vicinity of type III structures. It is not known whether these structures are somehow involved in the replication and/or assembly of the putative NANB virus or whether they are simply nonspecific responses to cellular injury. When treated with uranyl acetate, type I, II and III structures stain intensely as if they might contain nucleic acids. If these structures do correspond to intermediates in the replication of a virus, one might expect them to contain DNA or RNA and the present study was undertaken to explore this possibility.

Comparative surface and ultrastructural views of methylotrophic bacteria by TEM, STEM, SE, and freeze-etch electron microscopy.

1987 ◽  
Vol 45 ◽  
pp. 792-793
Author(s):  
T.A. Fassel ◽  
M.J. Schaller ◽  
M.E. Lidstrom ◽  
C.C. Remsen
Keyword(s):  
Cytoplasmic Membrane ◽  
Structural Features ◽  
Methylotrophic Bacteria ◽  
Type I ◽  
Type Ii ◽  
Membrane Complex ◽  
Oxidation Of Methane ◽  
Methane Oxidizing Bacteria ◽  
Wall Structures ◽  
Methylomonas Albus

Methylotrophic bacteria play an Important role in the environment in the oxidation of methane and methanol. Extensive intracytoplasmic membranes (ICM) have been associated with the oxidation processes in methylotrophs and chemolithotrophic bacteria. Classification on the basis of ICM arrangement distinguishes 2 types of methylotrophs. Bundles or vesicular stacks of ICM located away from the cytoplasmic membrane and extending into the cytoplasm are present in Type I methylotrophs. In Type II methylotrophs, the ICM form pairs of peripheral membranes located parallel to the cytoplasmic membrane. Complex cell wall structures of tightly packed cup-shaped subunits have been described in strains of marine and freshwater phototrophic sulfur bacteria and several strains of methane oxidizing bacteria. We examined the ultrastructure of the methylotrophs with particular view of the ICM and surface structural features, between representatives of the Type I Methylomonas albus (BG8), and Type II Methylosinus trichosporium (OB-36).

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